Working knowledge of hospital patient accounting, general ledger, and decision support systems (Epic, Strata, or equivalent) + Knowledge of pass-through payment structures, lump sum adjustments, and interim rate reconciliation + Organ Acquisition, 340B, and IRIS experience preferred + Ability to communicate complex reimbursement concepts clearly to finance, clinical, and operational stakeholders + Experience interfacing with MACs, CMS, and state agencies during audits, desk reviews, and appeals + Comfortable managing multiple filing deadlines and regulatory timelines simultaneously . Environmental exposures include but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste chemicals/gases/fumes/vapors, Communicable diseases, Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required.